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Bronchoscopy is a widely used technique for diagnostic and therapeutic purposes. Though it requires anesthesia, many options are available, depending on the patient’s health status, the purpose of the procedure, and the type of bronchoscope used. One such health status is heart failure, a leading cause of death, and a common challenge of anesthesiology. We report a 60-year-old male patient who is a known case of heart failure with an ejection fraction of 15%, and an implanted cardioverter defibrillator, along with concurrent ischemic heart disease, diabetes mellitus, and hypertension, who presented complaining of dysphagia. This highly morbid patient was able to successfully undergo a bronchoscopic biopsy with nerve block anesthesia considering his inadequacy for conventional methods. This report aims to shed light on these challenging cases and alert anesthesiologists on how to manage such situations in patients with cardiac morbidities.

Abstract Objectives While interoceptive self-report scales provide a foundation for measuring the mind-body connection, they variably consider other important factors that could influence interpretations of internal bodily sensations and perceptions related to mind-body integration. The proposed Body-Mind Connection Questionnaire (BMCQ) aimed to operationalise the notion that this construct involves three major components: (a) Interoceptive Attention, (b) Sensation-Emotion Articulation, and (c) Body-Mind Values. Methods Following panel review and piloting with the target population, the developed BMCQ was evaluated in 316 participants (189 identifying as female) aged 18-50 (M Age =30.78), alongside established self-report measures of interoceptive sensibility, body awareness, sensory processing sensitivity, and alexithymia. We examined the BMCQ factor structure through exploratory factor analysis and analysed convergent and discriminant validity. Results Exploratory factor analysis supported three scales of the BMCQ, which explained 54.03% of variance. Factor loadings (>0.44) and reliability indices (0.74 to 0.85) were acceptable. Inter-scale correlations suggested that the scales are distinct but related (rs=0.38 to 0.59). BMCQ scales were supported by convergent (r=0.33 to 0.67) and discriminant evidence (rs=0.01 to 0.39, p range n.s. to

Abstract Macroscopic superconducting components are an important building block of various quantum circuits. Since several of the envisioned applications require exposure to magnetic fields, it is of utmost importance to explore the impact of magnetic fields on their performance. Here we explore the complex pattern of magnetic field penetration and identify its impact on the resonance frequency of NbTiN superconducting resonators by combining magneto-optical imaging and high-frequency measurements. At temperatures below approximately half of the superconducting critical temperature, the development of magnetic flux avalanches manifests itself as a noisy response in the field-dependent resonance frequency. Magneto-optical imaging reveals different regimes and distinguishes the impact of avalanches in the ground plane and resonator. Our findings demonstrate that superconducting resonators represent a valuable tool to investigate magnetic flux dynamics. Moreover, the current blooming of niobium-based superconducting radio-frequency devices makes this report timely by unveiling the severe implications of magnetic flux dynamics.

Abstract Imerslund-Gräsbeck syndrome (IGS) is a rare autosomal recessive disorder characterized by vitamin B12 malabsorption. Most patients present with non-specific symptoms attributed to vitamin B12 deficiency, and proteinuria. Patients may if untreated, develop severe neurocognitive manifestations. If recognized and treated with sufficient doses of vitamin B12, patients recover completely. We provide, for the first time, an overview of all previously reported cases of IGS. In addition, we provide a complete review of IGS and describe two new patients.

We present a case series of three successfully resected tumors in our center at Al-Makassed Hospital in Jerusalem, Palestine, all of which primarily involved or invaded adjacent structures and needed a multidisciplinary approach to achieve R0 resection. Our first patient is a 42-year-old previously healthy female with intermittent attacks of dull aching abdominal pain. Her tumor was a leiomyosarcoma that involved major vessels and other adjacent vital structures. Ultimately, she needed major highly advanced surgery necessitating the need for vascular reconstruction of the IVC, as well as R0 resection. The surgery was performed by a multidisciplinary team of highly specialized surgeons in related fields. Our second case is a 75-year-old female patient with a well-differentiated liposarcoma invading the upper pole of the right kidney, necessitating a nephrectomy. Consequently, this case demanded the interdisciplinary involvement of nephrology. Our third patient is a 59-year-old male with dedifferentiated liposarcoma that involved the spleen, pancreas, and splenic flexure while engulfing the left kidney and ureter. Beyond the removal of the tumor, multiorgan resection was imperative to achieve microscopic margin-free resection. This extensive local spread needed broad collaboration from the medical team and other surgical subspecialties. All surgeries went well, and their outcomes were promising. All patients had an uneventful follow-up and, to date, no recurrence. Invasive retroperitoneal sarcomas of different histological types and clinical stages represent a technical challenge. Careful preoperative investigation and an experienced, dedicated multidisciplinary team of surgeons and non-surgeons from related fields, including vascular, urologic, and hepatobiliary surgeons, are usually needed for a safe and successful R0 resection despite extensive tumor involvement in light of difficulty achieving early diagnosis.

Abstract Sulfur particles coated by activation of metal alkoxide precursors, aluminum–sulfur (Alu–S) and vanadium–sulfur (Van–S), were produced by dielectric barrier discharge (DBD) plasma technology under low temperature and ambient pressure conditions. We report a safe, solvent‐free, low‐cost, and low‐energy consumption coating process that is compatible for sustainable technology up‐scaling. NMR, XPS, SEM, and XRD characterization methods were used to determine the chemical characteristics and the superior behavior of Li–S cells using metal oxide‐based coated sulfur materials. The chemical composition of the coatings is a mixture of the different elements present in the metal alkoxide precursor. The presence of alumina Al2O3 within the coating was confirmed. Multi‐C rate and long‐term galvanostatic cycling at rate C/10 showed that the rate capability losses and capacity fade could be highly mitigated for the Li–S cells containing the coated sulfur materials in comparison to the references uncoated (raw) sulfur. Electrochemical impedance spectroscopy (EIS) and cyclic voltammetry (CV) confirm the lower charge‐transfer resistance and potential hysteresis in the electrodes containing the coated sulfur particles. Our results show that the electrochemical performance of the Li–S cells based on the different coating materials can be ranked as Alu‐S > Van‐S > Raw sulfur.

Background: Asthma is the most prevalent chronic respiratory condition in children. An asthma exacerbation (AE) is a frequent reason for emergency department (ED) visits. An important step in the management of a moderate to severe AE is the administration of systemic corticosteroids (SCS) within 1 h after ED presentation. This study aimed to determine the timing of SCS administration and correlate this with the length of stay and oxygen therapy duration and to explore factors predicting timely administration. Methods: This study used a retrospective multicenter observational design based on electronic medical records review. Children aged < 18 years, presenting to the ED with a moderate to severe AE were included. Results: 205 patients were included. Only 28 patients received SCS within 60 min after ED arrival. The median time to SCS administration was 169 min (Q1 92–Q3 380). A correlation was found between timing and oxygen treatment duration (r = 0.363, p < 0.001) and length of stay (r = 0.368, p < 0.001). No patient characteristics predicted timely SCS administration. Conclusions: Three in four children who presented with a moderate to severe AE at the ED did not receive SCS within the first hour. A prolonged timing of SCS administration correlated with a prolonged length of stay and extended need for oxygen support.

A eutectic system is a mixture of two or more substances, displaying a melting temperature lower than its standalone components. The eutectic composition displays the lowest melting temperature of all mixtures. Typically, a eutectic system is used as an example of binary phase diagrams to demonstrate to undergraduate students. Herein, the liquidus and solidus define regions in the phase diagram where the mixture is either a liquid, a solid, or a combination of both. This experiment aims to construct the binary phase diagram of a mixture of menthol (M) and lauric acid (LA) by measuring the thermal properties of a wide range of compositions utilizing differential scanning calorimetry (DSC). The solidus and liquidus are uniquely located below room temperature. The eutectic melting temperature is around 12°C, while the standalone menthol and lauric acid components melt at 36 and 48°C, respectively. This allows the visual demonstration of the compositions in all of the defined regions in the binary phase diagram. Furthermore, the theory of cryoscopy is utilized to predict the liquidus of the phase diagram. The comparison with the experimentally determined melting temperatures allows the undergraduate students to reflect on the reliability of the derived equation.

The redox reaction between dioxovanadium(V) and oxalate is proposed as a suitable system to analyze the kinetics of a twostep reaction mechanism using UV-vis spectroscopy. First, the spectra of dioxovanadium(V) and its reduced counterpart oxovanadium(IV) are compared and explained using the crystal field theory. The change in absorbance can be used to determine the reaction order and rate equation by the method of initial rates. Next, the students are introduced to the Guggenheim time-lag method to calculate the apparent rate constant. By performing the experiment at different temperatures, ranging from 20 to 50 °C, an Arrhenius plot can be constructed to obtain the activation energy for this redox reaction.

Understanding variation in leaf functional traits-including rates of photosynthesis and respiration and concentrations of nitrogen and phosphorus-is a fundamental challenge in plant ecophysiology. When expressed per unit leaf area, these traits typically increase with leaf mass per area (LMA) within species but are roughly independent of LMA across the global flora. LMA is determined by mass components with different biological functions, including photosynthetic mass that largely determines metabolic rates and contains most nitrogen and phosphorus, and structural mass that affects toughness and leaf lifespan (LL). A possible explanation for the contrasting trait relationships is that most LMA variation within species is associated with variation in photosynthetic mass, whereas most LMA variation across the global flora is associated with variation in structural mass. This hypothesis leads to the predictions that (i) gas exchange rates and nutrient concentrations per unit leaf area should increase strongly with LMA across species assemblages with low LL variance but should increase weakly with LMA across species assemblages with high LL variance and that (ii) controlling for LL variation should increase the strength of the above LMA relationships. We present analyses of intra- and interspecific trait variation from three tropical forest sites and interspecific analyses within functional groups in a global dataset that are consistent with the above predictions. Our analysis suggests that the qualitatively different trait relationships exhibited by different leaf assemblages can be understood by considering the degree to which photosynthetic and structural mass components contribute to LMA variation in a given assemblage.

Hendrik Reynders,1 Indra Van Zundert,1 Rui Silva,1– 3 Bram Carlier,3 Olivier Deschaume,4 Carmen Bartic,4 Susana Rocha,1 Sergey Basov,5 Margriet J Van Bael,5 Uwe Himmelreich,3 Thierry Verbiest,1 Ana Zamora1,3 1Molecular Imaging and Photonics, KU Leuven, Leuven, Belgium; 2Engineering Department, Oporto University, Porto, Portugal; 3Biomedical MRI, Department of Imaging and Pathology, KU Leuven, Leuven, Belgium; 4Laboratory for Soft Matter and Biophysics, KU Leuven, Leuven, Belgium; 5Quantum Solid State Physics, KU Leuven, Leuven, BelgiumCorrespondence: Ana Zamora Email anamaria.zamoramartinez@kuleuven.beIntroduction: The inherent fluorescence properties of iron oxide nanoparticles (IONPs) were characterized, and their applicability for multiphoton imaging in cells was tested in combination with their magnetic resonance imaging (MRI) capabilities.Methods: Superparamagnetic iron oxide nanoparticles were synthesized and subsequently coated with polyethylene glycol to make them water-dispersible. Further characterization of the particles was performed using Fourier transform infrared spectroscopy (FT-IR), X-ray diffraction (XRD), dynamic light scattering (DLS), superconducting quantum interference device (SQUID) and magnetic resonance relaxivity measurements. MRI and fluorescence properties of bare IONPs were first studied in solution and subsequently in A549-labeled cells.Results: The particles, with a core size of 11.3 ± 4.5 nm, showed a good negative MRI contrast in tissue-mimicking phantoms. In vitro studies in mammalian A549 cells demonstrate that these IONPs are biocompatible and can also produce significant T2/T2&ast; contrast enhancement in IONPs-labeled cells. Furthermore, excitation-wavelength dependent photoluminescence was observed under one- and two-photon excitation.Discussion: The obtained results indicated that IONPs could be used for fluorescence label-free bioimaging at multiple wavelengths, which was proven by multiphoton imaging of IONPs internalization in A549 cancer cells.Keywords: iron oxide nanoparticles, photoluminescence, biomedical imaging, MRI, cancer cells, multimodal imaging

Recent work has suggested that the phytoremediation potential of S. alterniflora may be linked to a selection by the plant for oil-degrading microbial communities in the soil, in combination with enhanced delivery of oxygen and plant enzymes to the soil. In salt marshes, where the soil is saline and hypoxic, this relationship may be enhanced as plants in extreme environments have been found to be especially dependent on their microbiome for resilience to stress and to respond to toxins in the soil. Optimizing methods for restoration of oiled salt marshes would be especially meaningful in the Gulf of Mexico, where there is a persistently high threat of petroleum contamination. One favorable strategy for restoration of oiled sites might include planting S. alterniflora with a microbiome that has been pre-selected for an oiled environment. We examined this strategy with a two-year greenhouse experiment and found that planting S. alterniflora in an oiled environment enhances decomposition of oil residues without a clear negative impact on plant growth. Manipulation of the S. alterniflora microbiome through soil inoculation and through exposure to oil residues, elicited a detectable response of soil prokaryote communities to the presence of oil, while only demonstrating an analogous response in fungal communities in the plant roots and leaves. Yet, manipulation of the plant microbiome did not change plant morphology or relative decomposition of polycyclic aromatic hydrocarbons (PAHs) in the soil. Therefore, despite evident relationships between the plant, microbes, and oil, manipulation of the microbiome may not be a worthwhile addition to S. alterniflora phytoremediation strategies. Nevertheless, our work adds support for replanting S. alterniflora in oiled salt marshes as an effective strategy for reducing oil residues in salt marshes, in addition to the re-vegetation and erosion reduction benefits demonstrated by others.

Binge drinking among adolescents is common in Belgium, posing a risk of serious health consequences. Until today, only estimations of the prevalence of acute alcohol intoxication (AAI) in adolescents have been made. Research into potential risk factors has not yet been conducted in Belgium. Therefore, this study aims to gain more insight into the prevalence, medical characteristics and potential risk factors of AAI among adolescents. A retrospective multicentre chart study was performed on adolescents aged 10–17 years with AAI in Antwerp, Belgium (2015–2021). Patient’s demographics, medical characteristics and information regarding the context of the AAI were collected from medical charts. Over the study period, a total of 1016 patients were admitted with AAI in Antwerp, having a median age of 16.6 years old, a median blood alcohol concentration of 1.95 g/L and combined drug use in 10% of cases. These findings did not significantly change over the study period. Multiple linear regression analysis indicated that after correcting for covariates, higher age, no combined drug use and decreased consciousness at admission were associated with more severe AAI cases (higher blood alcohol concentration). This study shows that AAI is prevalent among Belgian adolescents, and better targeted preventive measures and policies are needed. Our findings could be taken into account when developing preventive measures. However, data addressing the demographics and context of AAI were mostly missing. Therefore, prospective research is required to further investigate potential risk factors associated with AAI.

Thermochromic window coatings represent a promising technology to improve the energy efficiency of buildings in intermediate climates. With the technology approaching market introduction it is important to investigate its performance limits within smart windows and to identify existing development challenges. Here we analyze the theoretical maximum performance of thermochromic window coatings that modulate IR transmission whilst retaining high visible transparency. The set limitations lead to a theoretical maximum solar modulation of 39.1%. Within an insulated glazing unit (IGU), where at least 2 glass panes and a conventional low-e coating are required, this value is further reduced to 12.9%. We show that by carefully selecting a low-e coating with the highest compatibility to a thermochromic coated glass and by allowing 10% of modulation in the visible spectral range, the theoretical maximum can be increased to 23.1%, illustrating the importance to codesign and match both coatings within a smart window to reach optimum performance. Furthermore, we compared our current best-performing VO2:SiO2 composite coating within an IGU to the theoretical maximum. The analysis shows that with a solar modulation of 13.4%, the coating is currently at 59% of the theoretical maximum. Finally, we propose and discuss several strategies to proceed further toward the theoretical maximum.